OrganizationActive
168, LLC
NPI 1700108842 · Assisted Living Facility · Anchorage, AK
Provider details
- NPI number
- 1700108842
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Rodalyn Patrimonio-Raval, Adminisitrator
- License
- 100806 (AK)
Practice location
1736 W 11th Ave
Anchorage, AK 99501-4206
Phone: (907) 980-8168
Fax: (907) 338-8168
Mailing address
2965 Wendys Way
Anchorage, AK 99517-1400
Registry dates
- Enumerated
- 2010-02-16
- Last updated
- 2010-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.